NORTH JERSEY COMMUNITY RESEARCH INITIATIVE (NPI# 1679063242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679063242 |
| Entity Type | Organization |
| Organization Name | NORTH JERSEY COMMUNITY RESEARCH INITIATIVE |
| Other Organization Name | NJCRI |
| Practice Address |
393 Central Ave Newark NJ 07103-2842 |
| Practice Telephone | 9734833444 |
| Mailing Telephone | 9734833444 |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2018-05-18 |
| Authorized Official Name | COREY LYN DESTEFANO (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 9734833444 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
2000633 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0538027 | 05 |
| Other Name | Type Code |
|---|---|
| NJCRI | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568951168 | North Jersey Community Research Initiative | Clinic/Center | 393 Central Ave, Newark, NJ 07103-2842 | 2018-05-09 |
| 1639371446 | North Jersey Community Research Initiative | Counselor | 393 Central Ave, Newark, NJ 07103-2842 | 2007-06-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTH JERSEY COMMUNITY RESEARCH INITIATIVE | 393 Central Ave Ste 301, Newark, NJ 07103-2842 |
| Street Address |
393 CENTRAL AVE |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103-2842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053426510 | Vito Angelo Dituri | Pharmacist | 393 Central Ave, Newark, NJ 07103-2842 | 2006-08-21 |
| 1588226237 | Premier Health Pharmacy Corporation | Pharmacy | 393 Central Ave, Newark, NJ 07103-2842 | 2019-07-02 |
| 1942763537 | Apex Specialty Pharmacy, LLC | Pharmacy | 393 Central Ave, Newark, NJ 07103-2842 | 2019-04-10 |
| 1568951168 | North Jersey Community Research Initiative | Clinic/Center | 393 Central Ave, Newark, NJ 07103-2842 | 2018-05-09 |
| 1104377068 | Paul Iyahen | Registered Nurse | 393 Central Ave, Newark, NJ 07103-2842 | 2016-10-17 |
| 1326596362 | Joseph Kiper | Registered Nurse | 393 Central Ave, Newark, NJ 07103-2842 | 2016-09-20 |
| 1033666144 | Dorinda Coleman | Counselor | 393 Central Ave, Newark, NJ 07103-2842 | 2016-09-07 |
| 1407303514 | Sidsel Venger | Social Worker | 393 Central Ave, Newark, NJ 07103-2842 | 2016-09-07 |
| 1730636929 | Steve Morris | Counselor | 393 Central Ave, Newark, NJ 07103-2842 | 2016-09-06 |
| 1487100657 | Njcri Physicians Group PC | Counselor | 393 Central Ave, Newark, NJ 07103-2842 | 2016-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
| Find all providers in zip 07103 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
| 1891347035 | Connections Community Support Programs, Inc. | Clinic/Center | 34 Continental Ave, Newark, DE 19711-5310 | 2019-07-09 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1992159446 | The Kintock Group, Inc. | Clinic/Center | 19 Meeker Ave, Newark, NJ 07114-1315 | 2016-04-21 |
| 1437490893 | Integrity, Inc. | Clinic/Center | 26 Longworth St, Newark, NJ 07102-1008 | 2013-03-11 |
| 1013157593 | Trinity Uame Church | Clinic/Center | 226-230 Warren St, Newark, NJ 07103-3530 | 2009-02-24 |
| 1598958340 | Living New, Real Families Inc. | Clinic/Center | 15 South 9th Street, Newark, NJ 07102 | 2007-08-24 |
| 1003935610 | The Lennard Clinic, Inc | Clinic/Center | 461 Frelinghuysen Ave, Newark, NJ 07114-1426 | 2007-03-28 |
| 1780720649 | Integrity, Inc. | Clinic/Center | 659 Dr Martin Luther King Jr Blvd, Newark, NJ 07102-1119 | 2007-01-29 |
| 1306386289 | Integrity, Inc. | Clinic/Center | 26 Longworth St, Newark, NJ 07102-1008 | 2017-02-27 |
| Find all providers in NEWARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.